Jessica Dawn Blalock
Emergency Medicine in Oklahoma City, OK. Individual provider (NPI-1).
NPI number1114705472
StatusActive
Last updated in NPPESJun 19, 2026
Details
- NPI
- 1114705472
- Entity type
- Individual (NPI-1)
- Name
- Jessica Dawn Blalock
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 18, 2023
- Certification date
- Jun 19, 2026
- Last updated
- Jun 19, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - EMERGENCY MEDICINE
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207P00000X | Emergency Medicine | 9763 | OK | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
4401 S Western AveOklahoma City, OK 73109-3413
Phone 405-636-7000
Mailing address
4401 S Western AveOklahoma City, OK 73109-3413
Phone 405-636-7000
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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